Plans for Active Employees
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Active Members and COBRA Participants
2017 Benefit Information

The State Health Plan's Open Enrollment has ended. Look for 2018 Open Enrollment information to be available later this year.

For 2017 rate sheets and additional resources, visit the specific plan's page under "Plans for Active Employees."

Click any of the buttons below to learn more: 

2017 Plan Options  What's New for 2017 Enrollment Resources

 

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2017 Plan Options



For 2017, the State Health Plan will continue offering three Preferred Provider Organization (PPO) plans through Blue Cross and Blue Shield of North Carolina (BCBSNC):

  • The Consumer-Directed Health Plan (CDHP) 85/15 with a Health Reimbursement Account (HRA)

  • The Enhanced 80/20 Plan

  • The Traditional 70/30 Plan

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What's New for 2017?

  • Under the Enhanced 80/20 and Traditional 70/30 Plans, there are changes to the annual deductible, out-of-pocket maximum and various copays.​

  • Under all three health plans, the formulary, or drug list, for prescription drugs is moving from an open formulary to a closed formulary.

    Under a closed formulary, certain drugs are not covered. Members who are currently taking a drug that will not be covered beginning in 2017 will receive information regarding their prescription.

  • Under all three health plans, there is a new Diabetic Testing ​​Supplies pharmacy tier that includes coinsurance or a copay for test strips, lancets, syringes and needles
 

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Enrollment Resources


The following Open Enrollment resources help you make the best decision for you and your family. Please c
heck back often as more resources are added. 

This guide will help you take a closer look at the three health plan options available to you and decide which one to choose for 2017 - your best choice for 2017 may be different than the coverage you have now. 


2017 Decision Guide for Active Members.  Download.  Photo of happy, active members.​​2017 Decision Guide for Cobra Participants.  Download.  Photos of happy, active members.

e-Magazine

Explore your 2017 health plan options through a new and interactive format! 

2017 Benefits e-Magazine. Interactive Guide for Active Members. Launch the e-Magazine. SHP leaves image and photo of father, son 
 
 

Helpful Videos

 What's New for 2017 video.  Play video.Choosing a 2017 Health Plan video. Play video.The Consumer-Directed Health Plan, Separating Myth from Fact video. Play video.   

Plan Comparison Chart

2017 Plan Comparison Chart

Health Benefits Cost Estimator

Managing your personal health care costs begins with selecting the right health plan. The tools you’ll find in the Health Benefits Cost Estimator will help you understand which option may best match your coverage and financial needs.

Pharmacy Resources


2017 Drug Cost Lookup and Pharmacy Locator Tools

CVS Caremark will be the new Pharmacy Benefit Manager effective January 1, 2017. Click below to access the Drug Cost Lookup and Pharmacy Locator Tools.

Please note: If a drug will not be covered by the State Health Plan effective January 1, 2017, the following advisory will appear under Plan Notes: “Not covered: Ask your doctor about alternatives.”

 
Traditional 70/30 Plan Drug Cost Lookup ToolEnhanced 80/20 Plan Drug Cost Lookup ToolCDHP (85/15) Drug Cost Lookup Tool 
 
2017 Pharmacy Locator Tool